What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Coughing without letting food escape through the tracheostomy

Taking care of the tracheostomy, because the patient will always have to have one

Teaching the patient to swallow without aspiration

Teaching the patient to use an assistive device to speak

Answer and Explanation

The Correct Answer is C

a) Coughing without letting food escape through the tracheostomy: After supraglottic laryngectomy, the patient may have difficulty swallowing and may require specific techniques to prevent aspiration.
b) Taking care of the tracheostomy, because the patient will always have to have one: While a tracheostomy may be necessary initially, not all patients will need it permanently.
c) Teaching the patient to swallow without aspiration: The loss of the normal anatomy for swallowing after supraglottic laryngectomy puts the patient at risk for aspiration. Rehabilitation and learning proper swallowing techniques are major postoperative concerns.
d) Teaching the patient to use an assistive device to speak: This is also an important consideration, but the primary issue postoperatively is managing swallowing to avoid aspiration.

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Correct Answer is ["A","C","D"]

Explanation

a) Move his or her finger slowly toward the patient's nose: This is an appropriate action for testing accommodation, as it assesses the ability of the eyes to converge and maintain focus on the object as it moves closer.
b) Checking for a nystagmus: This is not directly related to accommodation, though nystagmus can be observed in other assessments for visual and neurological conditions.
c) Assess for convergence: Convergence is part of the accommodation process. It involves the eyes turning inward to focus on a near object.
d) Observe for pupillary constriction: Pupillary constriction is a key part of the accommodation response when focusing on a near object.
e) Note blinking: This is not necessary for assessing accommodation. Blinking can occur for various reasons but is not a direct sign of accommodation.
f) Hold his or her finger approximately 20 inches in front of the patient's eyes: For accommodation testing, the object should be moved closer, typically within 6-8 inches from the eyes.

A. Take the client's temperature. B. Place a dressing under the client's nose. C. Test the drainage for glucose. D. Notify the charge nurse.

Correct Answer is C

Explanation

a) Take the client's temperature: This action is important but not the first priority. The nurse should first assess the nature of the drainage to determine whether it is cerebrospinal fluid (CSF).
b) Place a dressing under the client's nose: This action is also important to manage the drainage but does not address the need to determine the source of the drainage.
c) Test the drainage for glucose: The presence of glucose in the drainage is a key indicator that it is CSF. CSF typically contains glucose, and this test will help confirm whether the drainage is cerebrospinal fluid, which could indicate a serious complication like a CSF leak from a basal skull fracture.
d) Notify the charge nurse: While notifying the charge nurse is important, the first action is to test the drainage for glucose to determine its nature and assess the potential risks.

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What is one major postoperative difficulty for a patient having a supraglottic laryngectomy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What actions should a nurse implement when assessing a patient's accommodation? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who sustained a basal skull fracture. When performing morning hygiene care, the nurse notices a thin stream of clear drainage coming from out of the client's right nostril. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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